Wall, Michelle Dana

Wall, Michelle Dana is an sole proprietor health care provider with primary practice located at 4601 Excelsior Blvd 407, Saint Louis Park MN 55416-4960. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Wall, Michelle Dana can be contacted via phone (612) 296-5174.

Contact Information

Primary practice address
4601 Excelsior Blvd 407 Saint Louis Park MN 55416-4960
Phone: (612) 296-5174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1104002716
LBN Legal business name Wall, Michelle Dana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2008
Last updated Jan 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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